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PLUMBING PERMIT - Oshkosh, Wisconsin Permil N~
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I Lot Bo. I 'BlOCk I Ward I Addüion or Replal
OUTSIDE WORK
Dale
NOW SEW" WATER STORMS FEES FEES RELAY S. SEWER WATER STORMS FEES
From MaIn 10 Curb Seplic Tanks From Main 10 Curb
""'m Cwrb to Building Eleclric Pumps From Curb 10 Building
Repair
INSIDE WORK
NO.
NEW
RE'.
USEo
NEW
R". I USEO
NO.
NEW
"'S
R".
USEO
FEES
"ES
NO.
Both Tub
Garbage Diaposala
Caleb BulDs
Wub Buin
Diabwubera
Conduclors
WaiU CI_t
Laundromala
Gre... Caleb BulDs
f---
Sink
/
l!Þ
Waler Softeners
Sump Pump" Ejeclors
Water Heale..
Sanilary Bubblers
Bar and Soda WOEI..
Shower Balba
Urinala
Floor DraIDs
Dental Cuspido..
Laundry Tube
Service Sinks
Valualion of Ibe Work Herein Described Fee Verified. Receipled and Recorded Received Permil and Inspecllon F...
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In the performance 01 this work the undersigned ownar (or his authorÏ2.d agent) of said premises and his authorized Plumb.r hereby agr.. to be bounden by ond
submit to all statut.s. city ordlnanc.s. and rules and regulations prescribed by the Board of Public Works for the government 01 Plumb.rs.
It Is luth.r agreed by the undersigned that no other uses will be made 01 the above connections except as hereinalt.r listed.
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